Moriarty, Mark

Moriarty, Mark is an individual health care provider with primary practice located at 609 S Christopher Road , Belen NM 87002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moriarty, Mark can be contacted via phone (505) 864-5454.

Contact Information

Primary practice address
609 S Christopher Road Belen NM 87002
Phone: (505) 864-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1124505201
LBN Legal business name Moriarty, Mark
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2018
Last updated Jul 23rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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